OrganizationActive
La Clinica Del Valle Family Health Care Center Inc.
NPI 1104194133 · Federally Qualified Health Center (FQHC) · Medford, OR
Provider details
- NPI number
- 1104194133
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- La Clinica Del Valle Family Health Care Center Inc.
- Organization subpart
- Yes
- Authorized official
- Traci Fossen, Cqo(541) 512-3912
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
931 Chevy Way
Medford, OR 97504-4127
Phone: (541) 535-6239
Street-level locationGet directions
Mailing address
931 Chevy Way
Medford, OR 97504-4127
Other names (DBA / former)
- Doing business as
- Mobile Health Center- La Clinica
Registry dates
- Enumerated
- 2011-12-05
- Last updated
- 2025-11-21
- Certified
- 2025-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.